Provider Demographics
NPI:1598913618
Name:VALERICE, STANIA
Entity Type:Individual
Prefix:
First Name:STANIA
Middle Name:
Last Name:VALERICE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:STANIA
Other - Middle Name:
Other - Last Name:VALERICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1001 NW 113TH TER
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-6142
Mailing Address - Country:US
Mailing Address - Phone:786-216-3448
Mailing Address - Fax:
Practice Address - Street 1:1001 NW 113TH TER
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-6142
Practice Address - Country:US
Practice Address - Phone:786-216-3448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11452207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine